Individual
JENNIFER S MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
ATHOL MEMORIAL HOSPITAL, 2033 MAIN STREET, ATHOL, MA 01331
(978) 249-3511
Mailing address
19 WARD AVE, NORTHAMPTON, MA 01060-2863
(978) 249-3511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
203960
MA
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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